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The guidelines for Living Wills will vary in each state; however, in Tennessee, your document needs to be acknowledged by a notary public or signed by two witnesses.
Defined as "a written statement of a person's wishes regarding medical treatment," advance directives, when properly signed and witnessed, will provide guidance for medical and health care decisions in the event the individual becomes incompetent and can no longer make such decisions.
Like a DNR, a POLST form lets EMS know whether or not the patient wants CPR. DNR orders only apply when a person does not have a pulse, is not breathing and is unresponsive. However, in most medical emergencies, a person does have a pulse, is breathing or is responsive. That's where POLST is different.
While an Advance Directive is a comprehensive document that covers a wide range of healthcare decisions, a POLST form is focused on end-of-life decisions that require immediate medical attention. For instance, it may specify whether you want to receive CPR, antibiotics, or be put on a ventilator.
The Physician Orders for Life-Sustaining Treatment (POLST) form is a tool for end-of-life planning. The form ensures that a patient's treatment wishes are known and will be followed by health care professionals during a medical crisis, when the patient cannot speak for themselves.
POLST is for people who are seriously ill or have advanced frailty. If you are healthy, an advance directive is for you. POLST forms and advance directives are both parts of advance care planning but they are not the same. POLST forms must be filled out and signed by health care provider.
The most common types of advance directives are the living will and the durable power of attorney for health care (sometimes known as the medical power of attorney). There are many advance directive formats.
Is POLST required by law? Filling out a POLST form is entirely voluntary, but California law requires that the physician orders in a POLST be followed by healthcare providers.